Active NPI
Jason Blake Harrell, PHARMD
- Pharmacist
- Union, SC
National Provider Identifier
1194293308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37988
- Practice address
- 599 Rice Ave
Union, SC 29379-1840 - Phone
- (864) 427-7668
- Fax
- (864) 427-1181
- NPI assigned
- Nov 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37988 | SC | Primary |
Addresses
Primary practice location
599 Rice Ave
Union, SC 29379-1840
Mailing address
1800 Keats Dr Apt 1832
Spartanburg, SC 29301-4989
Phone (704) 493-4495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37988 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1194293308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 KEATS DR APT 1832",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293014989",
"telephone_number": "704-493-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 RICE AVE",
"city": "UNION",
"state": "SC",
"postal_code": "293791840",
"telephone_number": "864-427-7668",
"fax_number": "864-427-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "JASON",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-06",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.